Individual
DR. BRADLEY DUANE SWINGDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6105 CAHILL AVENUE EAST, INVER GROVE HEIGHTS, MN 55076-1308
(651) 451-9101
(651) 451-9887
Mailing address
8329 DELANEY CIRCLE, INVER GROVE HEIGHTS, MN 55076-1308
(651) 451-3278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942018500
MEDICAL ASSISTANCE
MN
Enumeration date
11/14/2005
Last updated
05/14/2009
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